Maltreatment Flashcards
1
Q
5 keys to Hx
A
- each indiv. alone
- thorough Hx of event
- emotional state and dev. stage of child
- determine if another child at risk
- relevent med. Hx
2
Q
5 keys to Hx
A
- each indiv. alone
- thorough Hx of event
- emotional state and dev. stage of child
- determine if another child at risk
- relevent med. Hx
3
Q
6 Phx exam
A
- thorough skin exam
- neuro exam - font. HC, fundi
- frenulum
- abdo
- MSK - swelling, pain
- G/U - special team
4
Q
4 investigations to do
A
- skeltal survey (xray of all bones)
- CT head
- direct opthalmoscopy for retinal hemmor
- labs for occult abdo - LFTs, lipase
5
Q
labs for fractures
A
need to RO those that predisopse
- Ca, Phos, Mg, ALP, PTH
6
Q
labs for bruising
A
CBC, INR, VWF, PTT, factors
7
Q
red flags for bruises
A
- non ambulatory
- well cushioned areas
- patterned
8
Q
red flags for fractures
A
9
Q
6 Phx exam
A
- thorough skin exam
- neuro exam - font. HC, fundi
- frenulum
- abdo
- MSK - swelling, pain
- G/U - special team
10
Q
4 investigations to do
A
- skeltal survey (xray of all bones)
- CT head
- direct opthalmoscopy for retinal hemmor
- labs for occult abdo - LFTs, lipase
11
Q
labs for fractures
A
need to RO those that predisopse
- Ca, Phos, Mg, ALP, PTH
12
Q
labs for bruising
A
CBC, INR, VWF, PTT, factors
13
Q
red flags for bruises
A
- non ambulatory
- well cushioned areas
- patterned
14
Q
red flags for fractures
A
